| NPI | 1730421561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036.150459) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL T251-6608-5225) |
| 208800000X Urology (Licence: LA 308407) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2023-12-11 |